OrganizationActive
Dentists at Lakeside, Prof. Corp.
NPI 1467389460 · General Practice Dentistry · Corona, CA
Dentists at Lakeside, Prof. Corp. is a General Practice Dentistry organization in Corona, CA (NPI 1467389460).
Provider details
- NPI number
- 1467389460
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jorge Enciso, Owner(951) 482-7093
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2798 Pronio Circle
Corona, CA 92883
Phone: (951) 482-7093
Fax: (951) 547-0363
Street-level locationGet directions
Mailing address
Po Box 660041
Dallas, TX 75266-0041
Other names (DBA / former)
- Doing business as
- Dentists at Lakeside
Registry dates
- Enumerated
- 2026-05-05
- Last updated
- 2026-05-05
- Certified
- 2026-04-30
Frequently asked questions
- What is Dentists at Lakeside, Prof. Corp.'s NPI number?
- Dentists at Lakeside, Prof. Corp.'s National Provider Identifier (NPI) is 1467389460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dentists at Lakeside, Prof. Corp.?
- Dentists at Lakeside, Prof. Corp. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dentists at Lakeside, Prof. Corp. located?
- Dentists at Lakeside, Prof. Corp.'s practice location on file with NPPES is 2798 Pronio Circle, Corona, CA 92883.
- What is Dentists at Lakeside, Prof. Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Dentists at Lakeside, Prof. Corp. is (951) 482-7093.
- Who is the authorized official for Dentists at Lakeside, Prof. Corp.?
- The authorized official listed on Dentists at Lakeside, Prof. Corp.'s NPPES record is Jorge Enciso, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dentists at Lakeside, Prof. Corp.'s NPI active?
- Yes — Dentists at Lakeside, Prof. Corp.'s NPI (1467389460) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.